GSES及SSRS评分与妊娠期高血压患者焦虑的相关性

doi:10.3969/j.issn.1671-7171.2022.04.004

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1159 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要【目的】探讨自我效能(GSES)及社会支持度(SSRS)评分与妊娠期高血压患者焦虑的相关性。【方法】回顾性分析2018年1月至2019年1月在本院诊治的182例妊娠期高血压患者的临床资料。分析患者焦虑发生情况,统计患者月收入、文化水平、孕次、血清促卵泡刺激素(FSH)、血清孕酮(P)、雌二醇(E₂)、焦虑自评量表(SAS)评分、GSES评分、SSRS评分等临床资料,采用多因素Logistic回归分析影响妊娠期高血压患者焦虑的独立危险因素。【结果】182例妊娠期高血压患者中,有46例(25.27%)发生焦虑,纳为焦虑组;其余136例(74.73%)未发生焦虑,纳为非焦虑组。两组年龄、孕周、民族及FSH、P、E₂、血压水平比较,差异无统计学意义(P>0.05);焦虑组月收入≥3000元、本科以上学历、孕次≥2次所占比例及GSES评分、SSRS评分低于非焦虑组(P<0.05),SAS评分显著高于非焦虑组(P<0.05)。多因素Logistic回归分析显示:月收入、文化水平、孕次、SAS评分、GSES评分、SSRS评分均是影响妊娠期高血压患者焦虑的独立危险因素(P<0.05)。【结论】妊娠期高血压患者焦虑除与月收入、文化水平、孕次密切相关外,还与SAS、GSES及SSRS评分密切相关。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	李彩娟
	姚义芳

关键词 ：高血压,妊娠性, 焦虑, 自我评估, 社会支持

Abstract：【Objective】To investigate the relationship of self-efficacy (GSES) and social support (SSRS) scores with anxiety in patients with hypertension during pregnancy.【Methods】A retrospective analysis of the clinical data of 182 patients with hypertension during pregnancy in our hospital from January 2018 to January 2019. The occurrence of anxiety, patients' monthly income, education level, pregnancy times, serum follicle stimulating hormone (FSH), serum progesterone (P), estradiol (E₂), self-rating anxiety scale (SAS) score, GSES and SSRS scores were analyzed by multivariate logistic regression analysis to reveal the independent risk factors affecting anxiety in patients with hypertension during pregnancy. 【Results】Among the 182 patients with hypertension during pregnancy, 46 cases (25.27%) developed anxiety which were classified as the anxiety group; the remaining 136 cases (74.73%) did not develop anxiety that were classified as the non-anxiety group. There were no statistically significant differences in age, gestational weeks, ethnicity, FSH, P, E₂, and blood pressure levels between the two groups (P>0.05). The proportion of monthly income ≥ 3000 yuan, with bachelor degree or above, pregnancy times ≥ 2 times, GSES score and SSRS score in the anxiety group were lower than those in the non-anxiety group (P<0.05), while the SAS score was significantly higher than that in the non-anxiety group (P<0.05). Multivariate logistic regression analysis showed that monthly income, education level, pregnancy times, SAS score, GSES score, SSRS score were independent risk factors affecting anxiety in patients with hypertension during pregnancy (P<0.05). 【Conclusion】The anxiety of hypertensive patients during pregnancy is not only closely related to monthly income, education level and number of pregnancy, but also closely related to SAS, GSES and SSRS scores.

Key words： Hypertension, Pregnancy-Induced Anxiety Self-Assessment Social Support

收稿日期: 2021-12-06

中图分类号:

R714.252

基金资助:陕西省卫生计生科研基金项目(编号:2017B007)

通讯作者: **E-mail:953425082@qq.com

引用本文:

李彩娟, 姚义芳. GSES及SSRS评分与妊娠期高血压患者焦虑的相关性[J]. 医学临床研究, 2022, 39(4): 492-494.
LI Cai-juan, YAO Yi-fang. Relationship of GSES and SSRS Scores with Anxiety in Patients with Hypertension during Pregnancy. JOURNAL OF CLINICAL RESEARCH, 2022, 39(4): 492-494.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2022.04.004 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2022/V39/I4/492

[1] 何黎丹. 认知行为技术干预对妊娠期高血压疾病患者转归的影响[J].中国妇幼保健, 2018, 33(23):5425-5428.
[2] WINKEL S , EINSLE F , PIEPER L , et al. Associations of anxiety disorders, depressive disorders and body weight with hypertension during pregnancy[J].Arch Womens Ment Health,2015, 18(3):473-483.
[3] 任丽娟,王国华,张岩, 等.不同妊娠期妇女焦虑抑郁状况及其影响因素调查分析[J].人民军医,2018,61(9):797-801.
[4] 张菘,胥雄阳,唐剑萍, 等.高龄妊产妇MTHFR C677T基因多态性与妊娠期焦虑的关系[J].山东医药,2019,59(22):72-74.
[5] 贾智慧,张贤贤,张博雅, 等.问题解决疗法对妊娠期糖尿病患者焦虑、抑郁及自我管理能力的影响研究[J].中国全科医学,2020,23(23):2927-2932.
[6] 中华医学会妇产科学分会妊娠期高血压疾病学组.妊娠期高血压疾病诊治指南(2012版)[J].中华妇产科杂志,2012,47(6):476-480.
[7] 段泉泉, 胜利. 焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志, 2012, 26(9):676-679.
[8] BOSSCHER R J , SMIT J H . Confirmatory factor analysis of the General Self-Efficacy Scale[J].Behav Res Ther,1998, 36(3):339-343.
[9] 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.
[10] 肖水源.社会支持评定量表-心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:267-275.
[11] 郝春雪. 拉贝洛尔联合音乐疗法对妊娠期高血压产妇焦虑抑郁情绪及分娩结局的影响[J].中国性科学, 2018, 27(8):123-126.
[12] 杨阳, 刘艳成, 王静. 阿罗洛尔治疗高血压合并焦虑抑郁的临床研究[J].河北医学, 2018, 24(1):50-54.
[13] 李珊珊,贝为武,张晓庆, 等.孕妇焦虑抑郁状况及其影响因素调查研究[J].中国现代医学杂志,2016,26(24):124-128.
[14] 唐轶,兰茜,张亦奇, 等.孕早期焦虑和抑郁对妊娠期糖尿病的影响[J].卫生研究,2020,49(2):179-184.
[15] 陈亚玲,贺全勤,赵倩.妊娠期糖尿病产妇焦虑和抑郁情绪对妊娠结局的影响[J].国际精神病学杂志,2019,46(6):1108-1110.
[16] 阙书坚,王美芬,王超玲.妊娠晚期孕妇焦虑状况及其影响因素分析[J].中国妇幼保健,2019,34(17):4067-4069.
[17] 祁梦君, 朱淑青, 张利霞,等. 妊娠糖尿病患者妊娠相关焦虑及影响因素分析[J].现代预防医学, 2018, 45(1):189-193.
[18] 崔淑娴,赫连曼,赵海鹰.高血压合并焦虑抑郁病人血压变异性与血浆肾素活性、醛固酮水平的关系[J].中西医结合心脑血管病杂志,2020,18(7):1134-1136.
[19] MONK C , FIFER W P , MYERS M M , et al. Maternal stress responses and anxiety during pregnancy:effects on fetal heart rate.[J].Dev Psychobiol,2000, 36(1):67-77.
[20] 何亚琴. 妊娠高血压疾病产妇产前心理情绪状态及其影响因素调查研究[J].实用预防医学, 2016,23(5):606-607.
[21] 徐亿力,陈娅莉,喻彬, 等.平肝降压配方颗粒联合自我效能管理对妊娠高血压患者心理应激反应及妊娠结局的影响[J].中国药业,2018,27(6):21-24.